CHIP State Amendment Plans

Through this SPA, the state adds residential treatment services to the state’s behavioral health benefits.

Through this SPA, the state documents the state's compliance with the longstanding requirement to cover children's vaccines under current regulations at 42 CFR §§ 457.410(b)(2) and 457.520(b)(4), which requires states to cover age-appropriate vaccines in accordance with the recommendations of the ACIP without cost sharing. Additionally, the state makes technical updates to the CHIP state plan.

Through this SPA, the state increases the upper income standards for the state’s title XXI funded Medicaid expansion from 170 to 200 percent of the federal poverty level. SPA ND-24-0101 is a companion to the Medicaid eligibility expansion SPA, ND-24-0007.

Through this SPA, the state provides 12 months of continuous eligibility (CE) coverage to individuals enrolled in its separate CHIP, pursuant to section 5112 of the Consolidated Appropriations Act, 2023 (CAA, 2023).

Through this SPA, the state documents the state’s compliance with the longstanding requirement to cover children’s vaccines under current regulations at 42 CFR §§ 457.410(b)(2) and 457.520(b)(4), which requires states to cover age-appropriate vaccines in accordance with the recommendations of the ACIP without cost sharing.

Through this SPA, the state provides 12 months of continuous eligibility (CE) coverage to individuals enrolled in its separate CHIP, pursuant to section 5112 of the Consolidated Appropriations Act, 2023 (CAA, 2023).

Through this SPA, the state has demonstrated compliance with the Inflation Reduction Act (IRA) section 11405(b)(1) to cover adult vaccines, without cost sharing.

Through this SPA, the state has demonstrated compliance with the Inflation Reduction Act (IRA) section 11405(b)(1) to cover adult vaccines, without cost sharing. Additionally, this SPA documents the state’s compliance with the longstanding requirement to cover children’s vaccines under current regulations at 42 CFR §§ 457.410(b)(2) and 457.520(b)(4), which requires states to cover age-appropriate vaccines in accordance with the recommendations of the ACIP without cost sharing.

This SPA updates the CHIP state plan to remove the state’s premium assistance program as of January 1, 2023. The state also makes non-substantive updates to its CHIP state plan to more clearly reflect existing policies. The updates are effective September 1, 2023.

Through this SPA, Utah updates its CHIP reimbursement methodologies for Federally Qualified Health Centers and Rural Health Clinics and clarifies the Prospective Payment System and Alternative Payment Methodologies used by the state. Also, the state also updates reimbursement methodologies for Indian Health Services and 638 Tribal Health Facilities.